Wachlarowicz Aaron J, Joyce Anthony P, Roberts Steven, Pashley David H
US Army Endodontic Residency Program, Fort Gordon, Georgia 30905, USA.
J Endod. 2007 Feb;33(2):152-5. doi: 10.1016/j.joen.2006.09.011.
This study examined the effects of commonly employed endodontic irrigants on Epiphany-dentin bond strengths. Smear layers were created on dentin discs obtained from human third molars. Five groups of 10 discs each were treated with one of the following: (a) water; (b) 2% chlorhexidine; (c) 6% sodium hypochlorite (NaOCl); (d) 6% NaOCl followed by EDTA and water; or (e) 1.3% NaOCl followed by MTAD. The treated surfaces were air-dried and treated with Epiphany primer. Hollow steel tubes were placed on the dentin surfaces, and Epiphany sealer was applied to dentin inside the tubes. Samples were tested for shear bond strengths after 7 days of storage. Representative specimens were examined using scanning electron microscopy. One-way ANOVA and Tukey's test revealed significant differences among the groups (p<0.05). Using water or chlorhexidine as an irrigant resulted in significantly lower bond strengths when compared with NaOCl, NaOCl/EDTA, or NaOCl/MTAD. Neither EDTA nor MTAD significantly improved Epiphany-dentin bond strengths when compared with NaOCl used alone.
本研究考察了常用的根管冲洗剂对Epiphany-牙本质粘结强度的影响。在从人类第三磨牙获取的牙本质圆盘上形成玷污层。将每组10个圆盘分为五组,分别用以下一种溶液处理:(a)水;(b)2%氯己定;(c)6%次氯酸钠(NaOCl);(d)6% NaOCl接着用乙二胺四乙酸(EDTA)和水冲洗;或(e)1.3% NaOCl接着用MTAD冲洗。将处理过的表面空气干燥,并用Epiphany底漆处理。在牙本质表面放置空心钢管,并在管内的牙本质上应用Epiphany封闭剂。储存7天后对样本进行剪切粘结强度测试。使用扫描电子显微镜检查代表性标本。单因素方差分析和Tukey检验显示各组之间存在显著差异(p<0.05)。与NaOCl、NaOCl/EDTA或NaOCl/MTAD相比,用水或氯己定作为冲洗剂时粘结强度显著降低。与单独使用NaOCl相比,EDTA和MTAD均未显著提高Epiphany-牙本质粘结强度。